Donor genetic determinant of thymopoiesis rs2204985 impacts clinical outcome after single HLA mismatched hematopoietic stem cell transplantation
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Donor genetic determinant of thymopoiesis rs2204985 impacts clinical outcome after single HLA mismatched hematopoietic stem cell transplantation. / Tsamadou, Chrysanthi; Gowdavally, Sowmya; Platzbecker, Uwe; Sala, Elisa; Valerius, Thomas; Wagner-Drouet, Eva; Wulf, Gerald; Kröger, Nicolaus; Murawski, Niels; Einsele, Hermann; Schaefer-Eckart, Kerstin; Freitag, Sebastian; Casper, Jochen; Kaufmann, Martin; Dürholt, Mareike; Hertenstein, Bernd; Klein, Stefan; Ringhoffer, Mark; Frank, Sandra; Neuchel, Christine; Rode, Immanuel; Schrezenmeier, Hubert; Mytilineos, Joannis; Fuerst, Daniel.
in: BONE MARROW TRANSPL, Jahrgang 57, Nr. 10, 10.2022, S. 1539-1547.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Donor genetic determinant of thymopoiesis rs2204985 impacts clinical outcome after single HLA mismatched hematopoietic stem cell transplantation
AU - Tsamadou, Chrysanthi
AU - Gowdavally, Sowmya
AU - Platzbecker, Uwe
AU - Sala, Elisa
AU - Valerius, Thomas
AU - Wagner-Drouet, Eva
AU - Wulf, Gerald
AU - Kröger, Nicolaus
AU - Murawski, Niels
AU - Einsele, Hermann
AU - Schaefer-Eckart, Kerstin
AU - Freitag, Sebastian
AU - Casper, Jochen
AU - Kaufmann, Martin
AU - Dürholt, Mareike
AU - Hertenstein, Bernd
AU - Klein, Stefan
AU - Ringhoffer, Mark
AU - Frank, Sandra
AU - Neuchel, Christine
AU - Rode, Immanuel
AU - Schrezenmeier, Hubert
AU - Mytilineos, Joannis
AU - Fuerst, Daniel
N1 - © 2022. The Author(s).
PY - 2022/10
Y1 - 2022/10
N2 - A common genetic variant within the T cell receptor alpha (TCRA)-T cell receptor delta (TCRD) locus (rs2204985) has been recently found to associate with thymic function. Aim of this study was to investigate the potential impact of donor rs2204985 genotype on patient's outcome after unrelated hematopoietic stem cell transplantation (uHSCT). 2016 adult patients were retrospectively analyzed. rs2204985 genotyping was performed by next generation sequencing, p < 0.05 was considered significant and donor rs2204985 GG/AG genotypes were set as reference vs. the AA genotype. Multivariate analysis of the combined cohort regarding the impact of donor's rs2204985 genotype indicated different risk estimates in 10/10 and 9/10 HLA matched transplantations. A subanalysis on account of HLA incompatibility revealed that donor AA genotype in single HLA mismatched cases (n = 624) associated with significantly inferior overall- (HR: 1.48, p = 0.003) and disease-free survival (HR: 1.50, p = 0.001). This effect was driven by a combined higher risk of relapse incidence (HR: 1.40, p = 0.026) and non-relapse mortality (HR: 1.38, p = 0.042). This is the first study to explore the role of rs2204985 in a clinical uHSCT setting. Our data suggest that donor rs2204985 AA genotype in combination with single HLA mismatches may adversely impact post-HSCT outcome and should thus be avoided.
AB - A common genetic variant within the T cell receptor alpha (TCRA)-T cell receptor delta (TCRD) locus (rs2204985) has been recently found to associate with thymic function. Aim of this study was to investigate the potential impact of donor rs2204985 genotype on patient's outcome after unrelated hematopoietic stem cell transplantation (uHSCT). 2016 adult patients were retrospectively analyzed. rs2204985 genotyping was performed by next generation sequencing, p < 0.05 was considered significant and donor rs2204985 GG/AG genotypes were set as reference vs. the AA genotype. Multivariate analysis of the combined cohort regarding the impact of donor's rs2204985 genotype indicated different risk estimates in 10/10 and 9/10 HLA matched transplantations. A subanalysis on account of HLA incompatibility revealed that donor AA genotype in single HLA mismatched cases (n = 624) associated with significantly inferior overall- (HR: 1.48, p = 0.003) and disease-free survival (HR: 1.50, p = 0.001). This effect was driven by a combined higher risk of relapse incidence (HR: 1.40, p = 0.026) and non-relapse mortality (HR: 1.38, p = 0.042). This is the first study to explore the role of rs2204985 in a clinical uHSCT setting. Our data suggest that donor rs2204985 AA genotype in combination with single HLA mismatches may adversely impact post-HSCT outcome and should thus be avoided.
KW - Adult
KW - Graft vs Host Disease/etiology
KW - HLA Antigens/genetics
KW - Hematopoietic Stem Cell Transplantation/adverse effects
KW - Humans
KW - Neoplasm Recurrence, Local
KW - Receptors, Antigen, T-Cell, alpha-beta
KW - Receptors, Antigen, T-Cell, gamma-delta
KW - Retrospective Studies
KW - Thrombopoiesis
KW - Tissue Donors
KW - Unrelated Donors
U2 - 10.1038/s41409-022-01751-1
DO - 10.1038/s41409-022-01751-1
M3 - SCORING: Journal article
C2 - 35804057
VL - 57
SP - 1539
EP - 1547
JO - BONE MARROW TRANSPL
JF - BONE MARROW TRANSPL
SN - 0268-3369
IS - 10
ER -